Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $696.50 / $696.50 / $3,655.68	Facility		$696.50	$696.50	$3,655.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.60 / $696.50 / $3,655.68	Professional		$553.60	$696.50	$3,655.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $528.90 / $1,922.29 / $4,021.97	Facility		$528.90	$1,922.29	$4,021.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $650.38 / $779.93 / $1,207.29	Professional		$650.38	$779.93	$1,207.29
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $97.00 / $1,500.05 / $2,678.66	Facility		$97.00	$1,500.05	$2,678.66
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,681.14 / $3,915.93	Professional		$100.00	$1,681.14	$3,915.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $592.62 / $724.63 / $724.63	Facility		$592.62	$724.63	$724.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.98 / $528.98 / $772.49	Professional		$528.98	$528.98	$772.49
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $677.28 / $812.74 / $1,393.74	Professional		$677.28	$812.74	$1,393.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $760.22 / $886.93 / $1,925.90	Professional		$760.22	$886.93	$1,925.90
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $2,180.91 / $6,045.06 / $6,045.06	Facility		$2,180.91	$6,045.06	$6,045.06
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,535.45 / $6,535.45 / $9,502.79	Professional		$6,535.45	$6,535.45	$9,502.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,675.35 / $2,675.35 / $2,675.35	Professional		$2,675.35	$2,675.35	$2,675.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $373.50 / $1,109.46 / $1,305.05	Facility		$373.50	$1,109.46	$1,305.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $528.98 / $724.63 / $1,205.98	Professional		$528.98	$724.63	$1,205.98
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $2,391.46 / $2,391.46 / $2,391.46	Professional		$2,391.46	$2,391.46	$2,391.46
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $677.28 / $1,013.63 / $1,015.92	Professional		$677.28	$1,013.63	$1,015.92
United Facility/Professional Professional Modifier Low / Median / High Price $550.54 / $632.11 / $1,202.48	Professional		$550.54	$632.11	$1,202.48